Since 1990`s, the number of disabled or dead workers due to industrial injuries has been increasing, though industrial injuries have been decreasing owing to the chance of industrial structure. In recent years, the fact that the period of medical care in industrial injury insurance has been more and more long is related to not only serious industrial injury, but also benefits system of industrial injuriy insurance. The industrial insurance`s main benefits in Korea is provision for the loss of income and medical care. On the other hand, the investment on vocational/social rehabilitation to the return to work is very poor, even though growing demand for psychsocial services in rehabilitation. Therefore, this paper shows that the evaluation of problems and suggestions for the development of medical care system in industrial insurance in Korea.